Objective: A great deal of scholarly work has examined the way that physical, social and cultural environments relate to children's health behaviour, particularly with respect to diet and exercise. While this work is critical, little research attempts to incorporate the views and perspectives of children themselves using visual methodologies. Specifically, we examine: (1) how children conceptualize play; (2) what aspects of play are important to children; and (3) the role that play assumes in guiding children's activity patterns. Setting: Elementary school classrooms from third and fifth grade were sampled in a low-income, largely Latino/a part of southwest Denver, United States of America (USA), in late spring of 2010. Design: A qualitative study in which each child participated in a "photo voice" survey and an in-class focus group. Method: The authors employed visual methodologies to explore how children conceptualized play. Photo voice surveys were administered in English and Spanish. After analysis of the photo voice surveys, children were invited to discuss their photos and drawings in small focus groups conducted in the classroom. All children who completed the survey participated in the focus groups. Results: Children in this study group conceptualized play largely in unstructured form. Family and school were important themes to emerge from the analysis of the data. Conclusion: Visual methods can clarify social-cultural dimensions of interactions between people and places, which can serve to inform research on health behaviours from children's perspectives. Such methodologies are particularly important for research that focuses on the construction of physical environments for children. (Contains 2 figures and 1 table.)